Active NPI
Orthospine Specialists a Professional Corporation
- Orthopaedic Surgery of the Spine Physician
- San Jose, CA
National Provider Identifier
1376343079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- ORTHOSPINE SPECIALISTS A PROFESSIONAL CORPORATION
- Practice address
- 2400 Samaritan Dr Ste 100
San Jose, CA 95124-3910 - Phone
- (831) 204-6495
- NPI assigned
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kris Okumu, MD
- Title
- President
- Phone
- (831) 204-6495
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
2400 Samaritan Dr Ste 100
San Jose, CA 95124-3910
Mailing address
56B 5TH St Unit 3892
Carmel by the Sea, CA 93921-8181
Phone (831) 204-6495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
56B 5th St
Unit 3892
Carmel by the Sea, CA 93921
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Watsonville, CA
- NPI 1679736300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1376343079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56B 5TH ST UNIT 3892",
"city": "CARMEL BY THE SEA",
"state": "CA",
"postal_code": "939218181",
"telephone_number": "831-204-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SAMARITAN DR STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243910",
"telephone_number": "831-204-6495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOSPINE SPECIALISTS A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "OKUMU",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-204-6495",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.